Abstract
Lower abdominal wall-perineum, iliac-pelvic, gluteal, and groin can be seen as the parts connecting the body trunk and lower limbs. Sarcomas in these parts have three distinct features: (1) Superficial type, commonly seen in the lower abdomen and perineum; (2) Commonly seen in original external parts including iliac, pelvic, gluteal, and groin or the lateral integument; (3) Originally affected in the certain part of the channel and then spread. Compared to the shoulder girdle channel, the internal sided pelvic and abdominal cavity is normally dotted with sarcomas. The sarcomas within the part are hidden and large, overlapping with the main body structures, with difficulty in treatment and earlier diagnosis. The margin incision is often incomplete, which gives rise to the high risk of recurrence. Understanding the regularity of partial cut is of great help to locate the margin, complete the resection, or actively cure or mitigate risks. Confronted with the complicated operation, we should start from the local anatomy [1, 2].
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References
Zhang RM, Zhang YX. Surgical resection and reconstruction of superficial soft tissue sarcomas of the limbs and trunk. Chin J Cancer. 1997;7:292–5.
Zhang RM, Teng S, Ma YL, et al. Repair and reconstruction of soft tissue sarcoma after resection. Chin J Repair Reconstr Surg. 1999;13(1):18–20.
Zhang RM, Ma YL, Teng S, et al. Repair of neoplastic defect of lower abdominal wall with double thin muscle myocutaneous flap: two cases. Chin J Microsurg. 1999;22(3):167.
Zhang RM, Teng S, Xing RW, et al. Pedicle tissue flap transposition for treatment of giant abdominal wall defect of tumor. Chin J Microsurg. 2003;26(1):22–4.
Zhang RM, Liu YW, Zhang H, et al. Transposition of rectus abdominis musculocutaneous flap for the repair of peripheral tumor defects of the trunk. Chin J Microsurg. 2005;28(4):302–4.
Zhang RM, Wang CM, Chen Y, et al. The use of unilateral or bilateral external oblique myocutaneous flap in the reconstruction of lower abdominal wall or groin defects after malignant tumor resection. J Surg Oncol. 2014;110:930–4.
Zhang RM, Sun J, Wei XE, et al. Reconstruction of defects with the posterior femoral fasciocutaneous flap after resection of malignant tumours of the femoral greater trochanter, sacrococcygeal region and knee. JPRAS. 2009;62:221–9.
Zhang RM, Zhang H, Liu YW, et al. Surgical treatment of malignant and aggressive soft tissue tumors of the buttocks. Chin J Osteopath Oncol. 2005;4(1):5–9.
Zhang RM, Zheng YX, Li DQ. Repair of soft tissue defect after tumor resection with external oblique muscle flap. Chin J Microsurg. 1994;17(3):193–4.
Zhang RM, Zhang H, Gu XF, et al. Repair of tumorous inguinal and inferior abdominal wall defects by total abdominal external oblique muscle fascia flap. Chin Cancer Clin. 2008;35(18):1038–40.
Zhang RM, Tan YW, Wang HQ, et al. Tissue flap combined application for the prevention and treatment of seroma after regional lymph node dissection. Chin J Reconstr Surg. 2006;20(12):1220–3.
Zhang RM. Barrier resection for soft tissue sarcoma. Chin J Cancer. 2012;22(9):641–5.
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Zhang, R., Huang, W. (2020). Surgical Treatment of RSTS in the Lower Abdominal Wall-Perineum, Iliac-Pelvic, Gluteal, and Inguinal Region. In: Zhang, R. (eds) Surgery for Recurrent Soft Tissue Sarcoma. Springer, Singapore. https://doi.org/10.1007/978-981-15-1232-2_11
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DOI: https://doi.org/10.1007/978-981-15-1232-2_11
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